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Organization

VITALITY HEALTHCARE MEDICAL CORP

Active
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Organization

VITALITY HEALTHCARE MEDICAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PEDRAM SHOJAI LAC (CEO)
(818) 382-7880
Entity
Organization

Contact information

Practice address
16500 VENTURA BLVD, SUITE 414, ENCINO, CA 91436-2011
(818) 382-7880
(818) 382-7886
Mailing address
16500 VENTURA BLVD, SUITE 414, ENCINO, CA 91436-2011
(818) 382-7880
(818) 382-7886

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
171100000X
Acupuncturist
208100000X
Physical Medicine & Rehabilitation Physician
Primary
225100000X
Physical Therapist

Other

Enumeration date
05/02/2006
Last updated
01/09/2008
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